• Am. J. Respir. Crit. Care Med. · Nov 2024

    Assessment of Home-based Monitoring in Adults with Chronic Lung Disease. An Official American Thoracic Society Research Statement.

    • Yet H Khor, Vitalii Poberezhets, Russell G Buhr, James D Chalmers, Hayoung Choi, Vincent S Fan, Maureen George, Anne E Holland, Hilary Pinnock, Christopher J Ryerson, Rachel Alder, Kerri I Aronson, Teresa Barnes, Roberto Benzo, Surinder S Birring, Jeanette Boyd, Barbara Crossley, Ron Flewett, Michael Freedman, Toni Gibson, Linzy Houchen-Wolloff, Uma M Krishnaswamy, John Linnell, Fernando J Martinez, Catharina C Moor, Hilarry Orr, Andrea A Pappalardo, Isabel Saraiva, Karin Wadell, Henrik Watz, Marlies S Wijsenbeek, and Jerry A Krishnan.
    • Monash University, Respiratory Research@Alfred, Central Clinical School, Melbourne, Victoria, Australia.
    • Am. J. Respir. Crit. Care Med. 2024 Nov 25.

    AbstractBackground: There is increasing interest in the use of home-based monitoring in people with chronic lung diseases to improve access to care, support patient self-management, and facilitate the collection of information for clinical care and research. However, integration of home-based monitoring into clinical and research settings requires careful consideration of test performance and other attributes. There is no published guidance from professional respiratory societies to advance the science of home-based monitoring for chronic lung disease. Methods: An international multidisciplinary panel of 32 clinicians, researchers, patients, and caregivers developed a multidimensional framework for the evaluation of home-based monitoring in chronic lung disease developed through consensus using a modified Delphi survey. We also present an example of how the framework could be used to evaluate home-based monitoring using spirometry and pulse oximetry in adults with asthma, bronchiectasis/cystic fibrosis (CF), chronic obstructive pulmonary disease (COPD), and interstitial lung disease (ILD). Results: The PANACEA framework includes seven domains (test Performance, disease mANAgement, Cost, patient Experience, clinician Experience, researcher Experience, and Access) to assess the degree to which home-based monitoring assessments meet the conditions for clinical and research use in chronic lung disease. Knowledge gaps and recommendations for future research of home spirometry and pulse oximetry in asthma, bronchiectasis/CF, COPD, and ILD were identified. Conclusion: The development of the PANACEA framework allows standardized evaluation of home-based monitoring in chronic lung diseases to support clinical application and future research.

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